Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.75 / $5,621.00 / $9,870.00	Facility		$563.75	$5,621.00	$9,870.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,042.00 / $6,042.00 / $6,042.00	Facility	50	$6,042.00	$6,042.00	$6,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.66 / $563.75 / $791.26	Professional		$403.66	$563.75	$791.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,516.47 / $4,057.00 / $6,979.46	Facility		$1,516.47	$4,057.00	$6,979.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.00 / $424.29 / $663.46	Professional		$373.00	$424.29	$663.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,774.26 / $2,279.96	Facility		$505.00	$1,774.26	$2,279.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.46 / $571.10 / $1,200.43	Professional		$427.46	$571.10	$1,200.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $521.80 / $950.93	Facility		$425.00	$521.80	$950.93
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $665.88 / $726.00 / $1,248.30	Facility	50	$665.88	$726.00	$1,248.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,107.11 / $1,569.80 / $1,747.48	Professional		$1,107.11	$1,569.80	$1,747.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.91 / $354.02 / $645.05	Professional		$36.91	$354.02	$645.05
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.09 / $585.79 / $1,217.80	Professional		$412.09	$585.79	$1,217.80